Research and Evaluation Division, Public Health Wales, Cardiff, Wales CF10 4BZ, UK.
J Public Health (Oxf). 2023 Mar 14;45(1):e75-e86. doi: 10.1093/pubmed/fdac002.
Self-isolation is challenging and adherence is dependent on a range of psychological, social and economic factors. We aimed to identify the challenges experienced by contacts of coronavirus disease 2019 (COVID-19) cases to better target support and minimize the harms of self-isolation.
The Contact Adherence Behavioural Insights Study (CABINS) was a 15-minute telephone survey conducted with confirmed contacts of COVID-19 (N = 2027), identified through the NHS Wales Test Trace Protect (TTP) database.
Younger people (aged 18-29 years) were three times more likely to report mental health concerns (adjusted odds ratio [aOR]: 3.16, 95% confidence interval [CI]: 2.05-4.86) and two times more likely to report loneliness (aOR: 1.96, CI: 1.37-2.81) compared to people aged over 60 years. Women were 1.5 times more likely to experience mental health concerns (aOR: 1.51, 95% CI: 1.20-1.92) compared to men. People with high levels of income precarity were eight times more likely to report financial challenges (aOR: 7.73, CI: 5.10-11.74) and three times more likely to report mental health concerns than their more financially secure counterparts (aOR: 3.08, CI: 2.22-4.28).
Self-isolation is particularly challenging for younger people, women and those with precarious incomes. Providing enhanced support is required to minimize the harms of self-isolation.
自我隔离具有挑战性，其坚持与否取决于一系列心理、社会和经济因素。我们旨在确定 2019 年冠状病毒病（COVID-19）病例接触者所经历的挑战，以便更好地提供支持，将自我隔离的危害降到最低。
接触者隔离行为洞察研究（CABINS）是一项针对 COVID-19 确诊接触者（N=2027）的 15 分钟电话调查，这些接触者是通过威尔士国民保健制度（NHS）测试追踪保护（TTP）数据库确定的。
与 60 岁以上的人相比，年龄在 18-29 岁的年轻人更有可能报告心理健康问题（调整后的优势比[aOR]：3.16，95%置信区间[CI]：2.05-4.86）和孤独感（aOR：1.96，CI：1.37-2.81）。与男性相比，女性更有可能经历心理健康问题（aOR：1.51，95% CI：1.20-1.92）。收入不稳定程度较高的人报告经济挑战的可能性是其经济状况更稳定的人的八倍（aOR：7.73，CI：5.10-11.74），报告心理健康问题的可能性是其经济状况更稳定的人的三倍（aOR：3.08，CI：2.22-4.28）。
自我隔离对年轻人、女性和收入不稳定的人来说尤其具有挑战性。需要提供强化支持，将自我隔离的危害降到最低。
